Femur fractures are usually the result of high energy injuries such as motor vehicle accidents or falling from an elevated place. Low grade energy causing a femur fracture can be associated with a pathological underlying condition.
Associated injuries include proximal or distal femur fractures, patellar or tibia plateau fractures.
- Pain and swelling with the inability to weight bear
- Haemodynamic shock especially with associated polytrauma injuries
- Use ATLS principles and stabilize patient
- Assess local injury with assessment of skin bruising or open wounds and palpation of the affected area and the entire leg to exclude concomitant leg injuries
- Exclude concomitant ipsilateral limb injuries and examine the leg neurovascular system